The Hawaii Department of Health (DOH) has recently confirmed a case of rat lungworm disease, also known as angiostrongyliasis, in an adult on the island of Kauai, as reported by Hawaii News Now. This new case highlights the endemic nature of the disease across the Hawaiian Islands, presenting a consistent challenge to public health efforts. According to the Hawaii Department of Health, early diagnosis and treatment are crucial to mitigate the long-term effects of this illness.
Rat lungworm disease is caused by the parasitic nematode Angiostrongylus cantonensis. The adult form of the parasite resides in rodents, and the larvae are then transmitted through rat feces, which are ingested by snails and slugs. Humans can contract the disease by consuming raw or undercooked snails, slugs, or produce contaminated by them. Symptoms often include headaches, nausea, vomiting, neck stiffness, and joint pain Hawaii.gov.
The DOH advises that clinicians in Hawaii should have a high index of suspicion for neuroangiostrongyliasis, as the disease is endemic across all islands Hawaii Department of Health. Moreover, the Hawaii Department of Health has updated testing guidance for clinicians, including the availability of a more sensitive RT-PCR assay. Suspected cases should be reported to the Department of Health Disease Reporting Line.
For Hawaii's tourism and hospitality sector, this presents a potential risk, potentially affecting the perception of safety and health for visitors. Local businesses, particularly those in agriculture and food service, must uphold rigorous food safety standards to protect both residents and tourists. The confirmation of such cases requires continuous public education and awareness campaigns to prevent the spread of disease. With heavy rains increasing snail and slug activity, as mentioned by Hawaii Public Radio, vigilance is crucial.
